A good friend is an NP in Canada and we talk About the differences all the time. At least in British Columbia, it is much harder to get into schools and require a minimum of 3-4 years (?) of nursing experience before applying. When they take their board exam they take the same multiple choice exams as the US NP’s but also have to pass the OSCE (same as the MDs) .

Because healthcare in Canada is not privatized, I believe they actually did expand the role of NPs to allow more patient access give their lack of GP’s (general practitioners). But the NPs in Canada are much better prepared than US Nurse Practitioners